Active NPI
Irina Chirkov
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1902432958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61015121
- Practice address
- 12014 SE Mill Plain Blvd Ste 120
Vancouver, WA 98684-4044 - Phone
- (360) 892-0199
- NPI assigned
- Mar 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61015121 | WA | Primary |
Addresses
Primary practice location
12014 SE Mill Plain Blvd Ste 120
Vancouver, WA 98684-4044
Mailing address
11301 NE 7TH St Apt Y1
Vancouver, WA 98684-4986
Phone (360) 513-6294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61015121 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1902432958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 NE 7TH ST APT Y1",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844986",
"telephone_number": "360-513-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12014 SE MILL PLAIN BLVD STE 120",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844044",
"telephone_number": "360-892-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIRKOV",
"first_name": "IRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-20",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61015121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
- Krystle Ching
- Leslie Nan Ching, R.D.H.
- Ryan Chiodo, ED.S.
- Michelle Ying Chiou, MD
- Yahn Kun Chiou, MD
- Chiro One Wellness Center of Downtown Vancouver, PLLC
- Chiro One Wellness Center of Fishers Landing, PLLC
- Chiro One Wellness Center of Mill Plain PLLC
- Chiro One Wellness Center of Orchards PLLC
- Chiro One Wellness Center of Salmon Creek, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.